Tadevos Todd Makaryan, MD
Student in an Organized Health Care Education/Training Program in Thousand Oaks, CA. Individual provider (NPI-1).
NPI number1942902408
StatusActive
Last updated in NPPESMar 20, 2023
Details
- NPI
- 1942902408
- Entity type
- Individual (NPI-1)
- Name
- Tadevos Todd Makaryan
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 20, 2023
- Certification date
- Mar 20, 2023
- Last updated
- Mar 20, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
215 W Janss RdThousand Oaks, CA 91360-1847
Phone 805-852-9216
Mailing address
215 W Janss RdThousand Oaks, CA 91360-1847
Phone 805-852-9207
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All 206 Student in an Organized Health Care Education/Training Program providers in Thousand Oaks · All 3,401 providers in Thousand Oaks
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